Critical Care Nurse Full Time Night 7P-7A

About the Role

Provides quality patient care to critically ill patients through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care in coordination with the patient, family, and interdisciplinary staff to promote positive clinical outcomes. Applies critical thinking, ensures patient education, and participates in discharge planning.

Responsibilities

• Maintains the standard of nursing care and implements hospital and nursing department policies and procedures.
• Assesses the patient on admission within the required time frame and makes referrals to other disciplines (e.g., rehabilitation, nutritional services) as needed.
• Develops and updates a nursing care plan for assigned patients, ensuring coordination with the patient, family, and interdisciplinary team.
• Manages patient restraints, positioning, and alignment as required.
• Documents patient admission assessments, reassessments, care plans, and other pertinent information in the electronic medical record.
• Demonstrates correct use of biomedical equipment (e.g., defibrillator, suction machine, IV/feeding pumps, PCA pump, blood glucose monitoring machine).
• Obtains consents for procedures and blood transfusions, ensuring patients are informed.
• Receives, transcribes, and ensures accurate execution of physician’s orders.
• Recognizes and responds appropriately to patient changes in condition (e.g., cardiac rhythm, respiratory distress, GI bleed, diabetic ketoacidosis, adverse drug reactions, blood transfusion reactions).
• Administers medications with knowledge of actions, side effects, dosages, and routes per ICU policies.
• Demonstrates ability to recognize and institute arrhythmia protocols for cardiac rhythms (e.g., V-tach, V-fib, PVCs, asystole, heart blocks, atrial fibrillation/flutter).
• Directs, supervises, and evaluates nursing care provided to patients.
• Administers medications using the seven “rights”: right patient, route, time, medication, dose, reason, and documentation.
• Assists physicians with special tests and procedures (e.g., thoracentesis, paracentesis, arterial line insertion, bronchoscopy).
• Participates in the economical use of supplies and ensures equipment is clean and safe.
• Assists in orienting new personnel and evaluating nursing staff performance.
• Coordinates nursing care for patients scheduled for therapy or procedures by other departments.
• Institutes emergency measures for sudden adverse developments (e.g., cardiac arrest, respiratory arrest, sepsis).
• Maintains a clean and safe environment and applies therapeutic interventions for emotional and rehabilitative care.
• Provides lifesaving first aid using ACLS certification and protocols, making appropriate referrals as needed.
• Manages various tubes and devices (e.g., Foley/straight catheters, feeding tubes, chest tubes, JP drains, Hemovacs, T-tubes, wound drains, ostomy care, suprapubic catheters, continuous bladder irrigation).
• Sets up and monitors hemodynamic systems (e.g., Swan-Ganz catheter, arterial catheter, cardiac output).
• Demonstrates knowledge of critical lab values, reports and documents appropriately.
• Verifies correct lead telemetry placement, validates telemetry strips every 4 hours (and PRN), and documents findings.
• Participates in patient and family education and discharge planning.
• Provides complete patient reports to oncoming RNs, ensures documentation is complete, and maintains orderly patient rooms.
• Communicates pertinent information to RNs, physicians, and patients as needed.
• Adheres to dress code, maintains professional appearance, and wears appropriate identification.
• Completes annual health, safety, and education requirements.
• Maintains confidentiality of patient and employee information.
• Demonstrates knowledge of growth and development principles to provide age-appropriate care.
• Attends mandatory in-services and staff meetings.
• Represents the organization professionally and complies with ethical business practices.
• Communicates the hospital’s mission, ethics, and goals, as well as the department’s focus statement.
• Maintains current licensure/certification for the position.
• Demonstrates guest relations skills with patients, physicians, visitors, and employees.
• Follows departmental and hospital health, safety, security, and hazardous materials policies.

Skills & Qualifications

• Excellent oral and written communication and interpersonal skills.
• Knowledge of medications and their correct administration based on patient age and clinical condition.
• Basic computer knowledge.
• Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
• Ability to maintain good working relationships with co-workers.
• Must read, write, and speak fluent English.
• Good and regular attendance required.

Requirements

• Graduate from an accredited Registered Nursing program.
• Current Registered Nurse (RN) licensure in the state of employment or compact state licensure.
• Basic Life Support (BLS) certification (facility-specified).
• Advanced Cardiac Life Support (ACLS) certification (facility-specified).
• Minimum one year of training and experience in Critical Care.

Pay

$49.57 - $61.63 per hour.

Benefits

• Medical, Dental, and Vision coverage.
• 401(k) retirement plan.
• Flexible Spending Account (FSA) / Health Savings Account (HSA).
• Life Insurance.
• Paid Time Off.
• Wellness programs.